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Article: Health care in Egypt.

Sallam, I

1998 Volume 352, Issue 9140, Page(s) 1632

MeSH term(s)	Delivery of Health Care/statistics & numerical data ; Delivery of Health Care/trends ; Egypt ; Health Care Reform/economics ; Health Care Reform/methods ; Humans ; Infant Mortality/trends ; Infant, Newborn
Language	English
Publishing date	1998-11-14
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	3306-6
ISSN	1474-547X ; 0140-6736 ; 0023-7507
ISSN (online)	1474-547X
ISSN	0140-6736 ; 0023-7507
DOI	10.1016/S0140-6736(05)61085-9
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Article ; Online: Fibular strut graft for humeral aneurysmal bone cyst with varus deformity.

Mostafa, Mohamed F / Fawzy, Sallam I

International orthopaedics

2015 Volume 39, Issue 7, Page(s) 1391–1398

Abstract: Purpose: Proximal humerus is a common site for ABC and frequently associated with varus deformity that limits shoulder abduction. A prospective study was conducted to evaluate the use of intramedullary non-vascularised autogenous fibular strut graft for ...

Abstract	Purpose: Proximal humerus is a common site for ABC and frequently associated with varus deformity that limits shoulder abduction. A prospective study was conducted to evaluate the use of intramedullary non-vascularised autogenous fibular strut graft for reconstruction without internal fixation. Methods: A total of 20 patients (12 girls, 8 boys) were managed for proximal humeral ABC with varus deformity by extended curettage, osteotomy, intramedullary fibular graft and composite bone substitute. Their ages ranged from 10 to 17 years (average, 13.3 years). The lesion was juxtaphyseal in 16 patients and metaphyseal in 4. All cysts were active and centrally located type 2. The modified Enneking scoring system was used for final functional evaluation. Radiological assessment was done for the extent of defect healing, incorporation of the fibula and correction of the deformity. Results: After a mean follow-up of 41.2 months (range, 24-74) most of patients were satisfied and resumed daily activities without pain and with good range of shoulder movement. One patient complained of shoulder pain 10 months after surgery and was attributed to local recurrence. Limitation of recreational activity was experienced by one patient. There were no cases of deep infection, nerve deficit or pathological fracture. No cases of failed healing or incorporation of the fibula was detected. The improved shoulder abduction was closely related to the mean correction of the neck shaft angle. Conclusions: The technique is proved to be effective in controlling disease, correcting deformity and improving function.
MeSH term(s)	Adolescent ; Autografts ; Bone Cysts, Aneurysmal/pathology ; Bone Cysts, Aneurysmal/surgery ; Bone Transplantation/methods ; Child ; Female ; Fibula/surgery ; Humans ; Male ; Orthopedic Procedures/methods ; Osteotomy/methods ; Prospective Studies ; Reconstructive Surgical Procedures/methods ; Shoulder/pathology ; Treatment Outcome ; Wound Healing
Language	English
Publishing date	2015-04-09
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-015-2746-2
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Article: Shaped graft for aneurysmal bone cyst of upper limb bones.

Mostafa, Mohamed F / Abed, Yasser Y / Fawzy, Sallam I

Strategies in trauma and limb reconstruction

2017 Volume 12, Issue 3, Page(s) 151–158

Abstract: The optimal treatment of aneurysmal bone cyst remains challenging. The aim of this prospective study was to evaluate the results of using bone grafts shaped to the defects caused by aneurysmal bone cysts of upper limb bones. Fifteen patients (12 males ... ...

Abstract	The optimal treatment of aneurysmal bone cyst remains challenging. The aim of this prospective study was to evaluate the results of using bone grafts shaped to the defects caused by aneurysmal bone cysts of upper limb bones. Fifteen patients (12 males and 3 females) with an average age of 12 years (range 6-16 years) were treated for aneurysmal bone cysts of upper limb bones by intralesional resection, argon beam coagulation and shaped bone graft. The grafts were harvested from 14 patients (11 fibulas and 3 iliac bones) and from the mother of one patient (proximal fibula). Osteosynthesis was required to stabilize the graft in four cases. The modified Enneking's scoring system was used for functional evaluation. One patient developed partial recurrence at 6 months and required reoperation. Superficial wound infection was encountered in one patient. Shortening of the humeral segment was seen in two patients (1 and 1.5 cm) but without angular deformity. After a mean follow-up of 45 months (range 24-68 months), the mean functional score was 97.3%. This technique proved to be reliable in obtaining a well reconstructed and growing bone with no or minimal deformity and good function.
Language	English
Publishing date	2017-07-15
Publishing country	India
Document type	Journal Article
ZDB-ID	2387508-2
ISSN	1828-8928 ; 1828-8936
ISSN (online)	1828-8928
ISSN	1828-8936
DOI	10.1007/s11751-017-0291-9
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Article ; Online: Ilizarov External Fixator Versus Retrograde Intramedullary Nailing for Ankle Joint Arthrodesis in Diabetic Charcot Neuroarthropathy.

ElAlfy, Barakat / Ali, Ayman M / Fawzy, Sallam I

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

2017 Volume 56, Issue 2, Page(s) 309–313

Abstract: Charcot neuroarthropathy of the ankle joint is a destructive process that leads to instability and significant morbidity that can end with amputation. Surgical arthrodesis in Charcot neuroarthropathy has a high failure rate. The aim of the present ... ...

Abstract	Charcot neuroarthropathy of the ankle joint is a destructive process that leads to instability and significant morbidity that can end with amputation. Surgical arthrodesis in Charcot neuroarthropathy has a high failure rate. The aim of the present prospective study was to compare the outcomes of an Ilizarov external fixator and retrograde intramedullary nailing (IMN) for tibiotalar arthrodesis in Charcot neuroarthropathy. From February 2010 to October 2013, 27 patients (16 males and 11 females) with Charcot neuropathy of the ankle joint were treated in our department. Their ages ranged from 32 to 75 (average 54) years. Of the 27 patients, 14 received an Ilizarov external fixator and 13 underwent IMN. A preoperative clinical and radiologic assessment of all patients was performed. The outcomes were measured for bone union, development of complications, and clinical follow-up. The mean score of modified American Orthopaedic Foot and Ankle Society ankle hindfoot scale was 80 ± 2.7 points in the Ilizarov group and 75 ± 1.9 points in the IMN group. In the Ilizarov group, 12 of 14 patients achieved union, and in the IMN group, 10 of 13 patients achieved union. The complication rate was significantly greater in the external fixator group than in the IMN group. The complications in the Ilizarov group included nonunion in 2 patients (14%), pin tract infection in 8 (57%), pin tract loosening in 3 (21%), surgical wound infection in 3 (21%), and wound breakdown in 1 patient (7%). In the IMN group, nonunion occurred in 3 patients (23.1%), back-out of a distal locking bolt in 2 (15.4 %), and a superficial wound infection that resolved with antibiotics in 1 patient (7.7%). In conclusion, retrograde IMN and the Ilizarov external fixator both yielded better union for tibiotalar arthrodesis in Charcot neuroarthropathy. The Ilizarov external fixator resulted in a greater union rate than IMN but the complications with external fixation were significantly greater than those with IMN.
Language	English
Publishing date	2017-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	1146972-9
ISSN	1542-2224 ; 1067-2516
ISSN (online)	1542-2224
ISSN	1067-2516
DOI	10.1053/j.jfas.2016.10.014
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Article ; Online: Comminuted long bone fractures in children. Could combined fixation improve the results?

El-Alfy, Barakat / Ali, Ayman M / Fawzy, Sallam I

Journal of pediatric orthopedics. Part B

2016 Volume 25, Issue 5, Page(s) 478–483

Abstract: Comminuted diaphyseal fractures in the pediatric age group represent a major orthopedic problem. It is associated with a high incidence of complications and poor outcomes because of the instability and difficulty in treatment. The aim of this study was ... ...

Abstract	Comminuted diaphyseal fractures in the pediatric age group represent a major orthopedic problem. It is associated with a high incidence of complications and poor outcomes because of the instability and difficulty in treatment. The aim of this study was to evaluate the efficacy of combined external skeletal fixation and flexible intramedullary nails in reconstruction of comminuted diaphyseal fracture in skeletally immature patients. Combined external fixator and elastic stable intramedullary nails were used in the management of 27 pediatric patients (15 males and 12 females) with unstable comminuted diaphyseal fractures of the tibia and femur. There were 19 fractures of the femur and eight fractures of the tibia. The average age of the patients was 8.7 years (range 7-14 years) for the femur and 10.8 years (range 6-15 years) for the tibia. Fractures were classified according to the system of Winquist and Hansen as grade II (five cases), grade III (nine cases), and grade IV (13 cases). All cases were operated within 6 days (range 0-6 days) after injury. The mean follow-up period was 2.8 years (range 2-3.5 years). The average duration of the external fixation was 1.6 months for fractures of the tibia, whereas it was 1.4 months for fractures of the femur. The average time for tibia fracture union was 2.8 months for fractures of the tibia, whereas it was 1.9 months for fractures of the femur. Malalignment in varus less than 5° was noted in one patient. One patient had a limb-length discrepancy of 1.5 cms. There were five cases (18.5%) with pin-tract infection. According to the Association for the Study and Application of the Methods of Ilizarov evaluation system, bone results were excellent in 23 cases (85.2%), good in three cases (11.1%), and poor in one case (3.7%). Functional results were excellent in 22 (81.5%) cases and good in five (18.5%) cases. Combined use of external fixators and elastic intramedullary nails is a good method for the treatment of comminuted long bone fractures in children.
MeSH term(s)	Adolescent ; Bone Nails ; Child ; Elasticity ; External Fixators ; Female ; Femoral Fractures/surgery ; Follow-Up Studies ; Fracture Fixation, Intramedullary/methods ; Fractures, Comminuted/surgery ; Fractures, Open/surgery ; Humans ; Leg Length Inequality/surgery ; Male ; Pediatrics/methods ; Postoperative Period ; Tibia/surgery ; Tibial Fractures/surgery
Language	English
Publishing date	2016-09
Publishing country	United States
Document type	Journal Article
ISSN	1473-5865
ISSN (online)	1473-5865
DOI	10.1097/BPB.0000000000000303
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Article ; Online: Treatment of proximal humerus fractures in children with a modified palm tree technique.

Ali, Ayman M / Fawzy, Sallam I / Moaty, Medhat / Abelaziz, Mohamed

Journal of pediatric orthopedics. Part B

2017 Volume 27, Issue 2, Page(s) 99–102

Abstract: Although most pediatric proximal humeral fractures can be successfully treated conservatively with satisfactory results, many operative techniques have been described for the treatment of displaced proximal humeral fractures. The aim of this study is to ... ...

Abstract	Although most pediatric proximal humeral fractures can be successfully treated conservatively with satisfactory results, many operative techniques have been described for the treatment of displaced proximal humeral fractures. The aim of this study is to evaluate the efficacy of percutaneous fixation using a modified palm tree technique for proximal humerus fractures in children. Between March 2011 and May 2013, the modified palm tree technique was used for the management of 30 children (20 boys and 10 girls) with displaced proximal humeral fractures. The average age of the patients was 11.5 years (age range from 8 to 15 years). They were evaluated clinically by the Constant-Murley score and by radiological analysis. The average follow-up duration was 18 months. The average time of fracture union was 6 weeks (range from 4 to 8 weeks). The average Constant score of the patients was 92 (range from 87 to 95), with excellent results in 27 (90%) cases, good results in three (10%) cases, and no fair or poor results (0%). The reported complications were superficial pin-tract infection in five cases, treated by daily dressing and local antibiotics, and malunion with a varus deformity in two cases (about 15°), with no recorded cases with deep infection. None of the cases required open reduction. No cases were complicated by avascular necrosis of the head humerus or loss of fixation. Kirschner wires were removed after an average period of 7 weeks. The modified palm tree technique represents an efficient method for the treatment of proximal humerus fractures in children. It produces a good grip in both the proximal and distal fragments. It allows for early joint movements.
MeSH term(s)	Adolescent ; Bone Wires/utilization ; Child ; Female ; Follow-Up Studies ; Fracture Fixation, Internal/instrumentation ; Fracture Fixation, Internal/methods ; Humans ; Male ; Shoulder Fractures/diagnostic imaging ; Shoulder Fractures/surgery ; Treatment Outcome
Language	English
Publishing date	2017-03-22
Publishing country	United States
Document type	Journal Article
ISSN	1473-5865
ISSN (online)	1473-5865
DOI	10.1097/BPB.0000000000000452
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Patient satisfaction with primary health care services in two districts in Lower and Upper Egypt.

Gadallah, M / Zaki, B / Rady, M / Anwer, W / Sallam, I

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

2003 Volume 9, Issue 3, Page(s) 422–430

Abstract: This study compares patient satisfaction with primary health care services and identifies factors associated with patient satisfaction in two health districts in Egypt where a project for upgrading primary health care services had been running for three ... ...

Abstract	This study compares patient satisfaction with primary health care services and identifies factors associated with patient satisfaction in two health districts in Egypt where a project for upgrading primary health care services had been running for three years. An exit interview was conducted for 1108 patients using a structured questionnaire. The results revealed that most clients using primary health care services were females. Patient satisfaction was high for accessibility, waiting area conditions and performance of doctors and nurses. The main complaints centred on the availability of prescribed drugs and laboratory investigations. Additionally, level of privacy in the consultation room was described as unsatisfactory by 33% of patients. There was no association between overall patient satisfaction and age, gender, education level or type of service received.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Egypt ; Female ; Health Care Costs/statistics & numerical data ; Health Facility Environment/standards ; Health Services Accessibility/standards ; Health Services Research ; Humans ; Male ; Middle Aged ; Needs Assessment ; Patient Satisfaction/statistics & numerical data ; Primary Health Care/economics ; Primary Health Care/standards ; Professional-Patient Relations ; Qualitative Research ; Surveys and Questionnaires ; Time Factors ; Total Quality Management/organization & administration ; Travel
Language	English
Publishing date	2003-05
Publishing country	Egypt
Document type	Comparative Study ; Journal Article
ZDB-ID	1291071-5
ISSN	1687-1634 ; 1020-3397
ISSN (online)	1687-1634
ISSN	1020-3397
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Book ; Online: Patient satisfaction with primary health care services in two districts in Lower and Upper Egypt

Gadallah, M. / Zaki, B. / Rady, M. / Anwer, W. / Sallam, I.

2003

Abstract: 422-430 ... This study compares patient satisfaction with primary health care services and identifies factors associated with patient satisfaction in two health districts in Egypt where a project for upgrading primary health care services had been running ... ...

Abstract	422-430 This study compares patient satisfaction with primary health care services and identifies factors associated with patient satisfaction in two health districts in Egypt where a project for upgrading primary health care services had been running for three years. An exit interview was conducted for 1108 patients using a structured questionnaire. The results revealed that most clients using primary health care services were females. Patient satisfaction was high for accessibility, waiting area conditions and performance of doctors and nurses. The main complaints centred on the availability of prescribed drugs and laboratory investigations. Additionally, level of privacy in the consultation room was described as unsatisfactory by 33% of patients. There was no association between overall patient satisfaction and age, gender, education level or type of service received
Keywords	Cross-Sectional Studies ; Health Care Costs ; Health Facility Environment ; Health Services Accessibility ; Health Services Research ; Needs Assessment ; Primary Health Care ; Professional-Patient Relations ; Qualitative Research ; Patient Satisfaction
Language	English
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Occupational patterns and trends in Cairo governorate

Sallam, I. Z

Studies in African and Asian demography: CDC annual seminar, 1983

(CDC Research Monograph Series ; no. 12)

1984

Abstract: Data from the 1960 and 1976 Egyptian Censuses were used to analyze occupational patterns and trends in the Cairo Governorate during the inter-census period. Such information is of special importance for manpower planning. Production workers were the ... ...

Author's details	I.Z. Sallam
Series title	CDC Research Monograph Series ; no. 12
Abstract	Data from the 1960 and 1976 Egyptian Censuses were used to analyze occupational patterns and trends in the Cairo Governorate during the inter-census period. Such information is of special importance for manpower planning. Production workers were the leading occupational group in both 1960 and 1976 (38% of the labor force). The share of white-collar occupations rose from 38% in 1960 to 44% in 1976, while that of service workers declined from 20% to 14%. In both censuses, 80% of professional, technical, and related workers were concentrated in the services and manufacturing sectors. Agriculture, manufacturing, and construction exhibited the highest indices of occupational concentration, whereas services, electricity, and transport had the lowest indices in both 1960 and 1976. In addition, professional, technical, sales, agricultural, and production process workers showed a higher degree of concentration than clerical, administrative, and managerial workers. In the 1960-76 period, the relatively high contribution of growth effect was for production workers (15%), service workers (8%), sales workers (6%), and clerical workers (5%). A definite improvement in the educational structure of the labor force occurred between censuses. The proportion of workers with an intermediate education rose from 13% in 1960 to 31% in 1976, while that of workers with a university education rose from 6% to 14%. Moreover, the proportion of illiterate workers declined from 40% to 27% of the labor force. Better educated workers are employed in professional, technical, administrative, and clerical positions, whereas the majority of illiterate workers are production process workers.
MeSH term(s)	Economics ; Educational Status ; Employment ; Health Manpower ; Industry ; Occupations ; Population Characteristics ; Sex Distribution ; Social Class ; Social Planning ; Socioeconomic Factors ; Demography ; Developing Countries ; Population ; Sex Factors
Keywords	Africa ; Africa, Northern ; Egypt ; Middle East ; Northern Africa ; Arab Countries ; Mediterranean Countries ; Development Planning ; Economic Development ; Employment Status ; Human Resources ; Labor Force ; Macroeconomic Factors ; Research Report ; Socioeconomic Status ; Demographic Factors ; Economic Factors
Language	English
Size	p. 183-200.
Publishing place	Cairo, Egypt, Cairo Demographic Centre
Document type	Article
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Global Forum of Cancer Surgeons: Perspectives on Barriers to Surgical Care for Cancer Patients and Potential Solutions.

Are, Chandrakanth / McMasters, Kelly M / Giuliano, Armando / Yanala, Ujwal / Balch, Charles / Anderson, Benjamin O / Berman, Russell / Audisio, Riccardo / Kovacs, Tibor / Savant, Dhairyasheel / Toprani, Rajendra / Amira, Gamal / Sallam, Ibrahim / Baek, Jeong Heum / Baek, Moo-Jun / Park, Do Joong / Beulo, Gregorio Quintero / Rocha, Enrique Bargallo / Said, Hector Martinez /

Cheema, Muhammad / AliKhan, Abul / Mack, Lloyd / Chen, Gong / Quadros, Claudio Almeida / Reis, Tarcisio / de Castro Ribeiro, Heber Salvador / Zippel, Douglas / Ramirez, Augusto Leon / Seto, Yasuyuki / Yoshida, Kazuhiro / Mori, Masaki

Annals of surgical oncology

2019 Volume 26, Issue 6, Page(s) 1577–1582

MeSH term(s)	Attitude of Health Personnel ; Delivery of Health Care/standards ; Humans ; Neoplasms/surgery ; Surgeons/standards
Language	English
Publishing date	2019-03-25
Publishing country	United States
Document type	Editorial
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-019-07301-2
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